Individual
DR. LESLIE HENDRICKS FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-3600
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10613
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5276
—
VT
05
—
30200242
—
NH
Enumeration date
08/24/2006
Last updated
06/30/2011
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